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Alaska rates for HCPCS A9541

Technetium Tc-99m sulfur colloid, diagnostic, per study dose, up to 20 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $707.95 / $3,235.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $295.12 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $707.95 / $3,235.94
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $263.03 / $537.03
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $707.95
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $302.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $436.52 / $616.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $60.26 / $275.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $398.11 / $741.31